NPIMap

Organization Active NPI

Northwest Montana Surgical Associates, P.C.

  • Surgery Physician
  • Libby, MT
National Provider Identifier
1801072624
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8804 Issued in MT
Legal business name
NORTHWEST MONTANA SURGICAL ASSOCIATES, P.C.
Practice address
308 Louisiana Ave
Ste 1
Libby, MT 59923-2158
Phone
(406) 293-2136
Fax
(406) 293-2936
NPI assigned
Jan 10, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Milheim G Stephen
Title
Clinic Manager
Phone
(406) 752-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 8804 MT Primary

Addresses

Primary practice location

308 Louisiana Ave
Ste 1
Libby, MT 59923-2158

Mailing address

308 Louisiana Ave
Ste 1
Libby, MT 59923-2158
Phone (406) 293-2136

National Provider Directory

National Provider Directory
Tax ID family
Northwest Montana Surgical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1801072624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LOUISIANA AVE",
            "address_2": "STE 1",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232158",
            "telephone_number": "406-293-2136",
            "fax_number": "406-293-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 LOUISIANA AVE",
            "address_2": "STE 1",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232158",
            "telephone_number": "406-293-2136",
            "fax_number": "406-293-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MONTANA SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "MILHEIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "406-752-5000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MT",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.